Insurance Case Management
What Does Insurance Case Management Mean?
Insurance case management is the process of overseeing specific insurance cases to ensure that all claims and expenses are necessary, reasonable, and legitimate. Health insurance companies typically hire case managers to manage these cases. Their goal is to prevent the insurance company from incurring unnecessary costs while ensuring that patients receive appropriate healthcare.
Insuranceopedia Explains Insurance Case Management
Health insurance companies often rely on case managers to prevent financial losses from covering unnecessary procedures. Additionally, patients may not always have complete information about their coverage. Insurance case management helps ensure the health insurance process runs smoothly and efficiently. Only individuals with the appropriate medical knowledge and qualifications can become case managers for health insurance companies. For this reason, medical professionals often hold these positions.
